Göðüs Hastanesi Dergisi. 2020; 34(2): 55-61 | DOI: 10.5222/IGH.2020.52714

COVÝD-19 Pandemi Döneminde Akciðer Kanseri Yönetimi

Murat Akyol¹, Berna Komurcuoglu^2
1S.B.U. Ýzmir Dr.Suat Seren Göðüs Hastalýklarý Eðitim Araþtýrma Hastanesi, Medikal Onkoloji Kliniði
²S.B.U. Ýzmir Dr.Suat Seren Göðüs Hastalýklarý Eðitim Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði

Çin’den bütün dünyaya yayýlan Covid-19 enfeksiyonu halen dünya genelinde yayýlmaya ve ciddi mortalite nedeni
olmaya devam etmektedir. Covid-19 enfeksiyonu sýklýkla ciddi akciðer tutulumuna baðlý pnömoni, ARDS ve
solunum yetmezliðiyle mortaliteye neden olmaktadýr.
Akciðer kanseri hem akciðerdeki lokal direncin düþmesine hem de tedavi süresinde oluþabilen immunsüpresyon
ile Covid-19 pnömonisi gibi sekonder enfeksiyonlara baðlý olarak karþý olgularda artmýþ mortalite riskine neden
olmaktadýr. Covid-19 enfeksiyonu seyrinde, kanser ve eþlik eden diðer ciddi komorbiditeler; yüksek oranda aðýr
klinik tablo, yoðun bakým yatýþý ve mortaliteye neden olmaktadýr. Akciðer kanserli hastalarýn bireysel olarak deðerlendirilerek,
evreleri ve performanslarýna göre tedavinin planlanmasý önerilmektedir. Pandemi sürecinde tanýda
endobronþiyal giriþimsel tetkikler yerine non-invaziv radyolojik yöntemlerin kullanýlmasý, hastane baþvurularýnýn
minimuma indirilerek, hastalarda en etkili ancak daha az immunsüpresyon yapan tedavilerin verilmesi planlanmalýdýr.

Anahtar Kelimeler: akciðer kanseri, COVÝD-19, pandemi, taný, tedavi, izlem

---

Lung cancer management in the COVID-19 pandemic

Murat Akyol¹, Berna Komurcuoglu^2
1Department of Medical Oncology, Health Sciences University, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey
²Department of Chest Diseases, Health Sciences University, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey

Covid-19 infection, spreading from China to the whole world, continues to spread and cause serious mortality.
Covid-19 infection causes mortality with pneumonia due to severe lung involvement, ARDS and respiratory failure.
Lung cancer causes both a decrease in the local resistance of the lung and an increased risk in cases against
secondary infections such as Covid-19 pneumonia with immunosuppression that may occur during the treatment
period. In the course of Covid-19 infection, cancer and other serious comorbidities cause high rates of severe
clinical picture, intensive care admission and mortality.
During Covid-19 pandemic, cancer and other serious co-morbidities; It causes high rates of severe clinical picture,
intensive care admission and mortality.
It is recommended to evaluate patients with lung cancer individually and to plan the treatment according to their
stages and performances. During the pandemic process, it should be planned to use non-invasive radiological
methods instead of endobronchial interventional examinations in the diagnosis, to minimize

Keywords: lung cancer, COVÝD-19, pandemic, diagnosis, therapy, management

---

ATIF KOPYALA